Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | ||
N | 363LW0102X | Nurse Practitioner - Women's Health | 14502 | CA |
NPI | 1043316714 |
---|---|
Provider Name | Kate Mcglashan |
First Address | San Rafael, CA 94901 |
Second Address | San Rafael, CA 94901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 20/01/2012 |